CMS Price Transparency Data

Blood test, amylase

Facility: The Heart Hospital Baylor Denton

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $83
Cash Discount Price: $102
vs. Medicare Baseline: 12.81x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at The Heart Hospital Baylor Denton is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 12.81x the Medicare baseline. Located in 2801 South Mayhill Road, Denton, TX.

Cash / Self-Pay

$102

Average discount available for prompt cash payment at this facility.

Insurance Median

$83

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$6.48

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.48 (100%)

Cash / Self-Pay: $102 (1574%)

Insurance Median: $83 (1281%)

Cash: $102 (1574% of Medicare)

Ins. Median: $83 (1281% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.48 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1281% of the Medicare baseline (a markup of 1181%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Superior Health Plan	$2 - $68	31%
Baylor Scott & White Health Plan	$6 - $361	93%
Humana	$6 - $435	93%
Triwest	$6	93%
American Health Plan	$7	108%
Blue Cross Blue Shield	$7 - $32	108%
Corvel	$7	108%
Healthspring	$7	108%
Prime Health Services	$7	108%
Procare Advantage	$7	108%
UnitedHealthcare	$7 - $11	108%
Cigna	$11 - $361	170%
Aetna	$12 - $342	185%
Employers Health Network	$12 - $342	185%
Quiktrip	$12 - $342	185%
University Of Mary Hardin-Baylor	$12 - $361	185%
Ambetter / Centene	$13	201%
Imagine Health	$13 - $390	201%
Curative	$14 - $404	216%
First Health	$15 - $435	231%
Healthsmart	$15 - $466	231%
Private Health Care System	$16 - $466	247%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $102.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82150.

Insurance In-Network Protection Plan

Contact your insurance company to confirm The Heart Hospital Baylor Denton is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82150.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.